Training
Training Sites
NZ - Hawke's Bay Hospital (Hastings)
Notes
360 bed secondary care hospital serving 150,000 population in Hawke’s
Bay. Teaching Hospital for medical students of University of Otago (Wellington
Clinical School). Hawke's Bay is a major wine growing region in
NZ with over 2,200 sunshine hours per year. Registrars can enjoy
a range of leisure and outdoor activities.
Training Positions
| Number of Training Positions: |
11 Medical Registrars |
| Duration of Accredited Advanced Training: |
1 year |
| Date of Most Recent Survey: |
- |
| Date of Next Survey: |
- |
Description of Service
Organisation
| Staff: |
15 General Physicians with subspecialty
interests (Cardiology 3, Geriatric Medicine 4, Respiratory 2, Gastry
2, Diabetes 2, Acute Medicine 2) share acute on call plus 1 Renal
Physician, Neurologist, Rheumatologist, Dermatologist and Palliative
Care Physician |
| Units: |
Single General Medical Service including Acute
Admitting Unit, CCU and Acute Stroke/Neurology Unit. All under department
well supported by Emergency Physicians, ICU and a comprehensive radiology
service. |
IM Demographics
| IM Beds: |
96 |
| IM Inpatient Activity: |
9,000 |
| IM Outpatient Clinics: |
Multiple subspecialty and General Medicine |
| IM Specialty Interests / Special Units: |
Cardiology 3 specialists, CCU, Echo & Catheter
Lab, Geriatric Med 4 specialists and ATR unit Respiratory 2 specialists
and full Resp Lab, Diabetes/Endo 2 specialists, Infectious Disease,
Neurology, Gastroenterology 2 specialists and full endoscopy service
Renal Medicine, Neurolog and Rheumatology 1 specialist each. |
Other Clinics/Programs:
| Acute medical assessment or planning unit: |
Yes |
| Multidisciplinary chronic disease
management clinic or program: |
Yes |
| Multidisciplinary clinic or program that specifically
targets patients at high risk of hospital admission (or readmission): |
No |
Formal Training
| Lectures: |
Weekly department educational session
- registrar run for physicians, registrars and HO. Weekly registrar
tutorial - specialist run |
| Journal Club: |
Weekly – specialist run |
| Grand Rounds: |
1 weekly, cross specialty |
| Consult Rounds: |
Minimum 3 x weekly and evening acute round |
| Specialty Rotations: |
3-6 month rotations negotiable in general medicine
runs with subspecialty experience in Cardiology, Respiratory Medicine
(with bronchoscopy and respiratory lab experience), Gastroenterology
(with endoscopy experience), Diabetes and Endocrinology, Renal Medicine,
Acute Medicine Unit and Infectious Diseases.
Trainees in General Medical units also participate in OPD clinics
in Neurology and on trainee request in Rheumatology and Dermatology. |
| Research: |
Active research department participating predominantly
in cardiology and stroke trials |
| Quality Improvement: |
Monthly department audit session |
Trainee Responsibilities in IM
| Coverage Roster: |
13 medical registrars share the 24
hour on call rota including nights (split into 4 [M-Th] and 3 [F-Su]
1 in 13 each. 10 registrars are attached to GM on call teams, each
with subspecialty interest (2 Cardiology, 2 Acute Medicine, 3 Geriatric/Stroke,
1 each Gastro, Respiratory and Diabetes/Endo), 1 Renal, 1 holiday
relief and 1 night relief. |
| Workload in Medicine Units: |
Average 24 admissions per day, shared amongst
all teams (min 4) rounding. 3 x ward rounds per week plus 11-2
OP clinics per week. |
| Teaching Responsibilities |
Yes, to junior medical staff/nursing/students |
| Research/presentations: |
Average of one presentation every 3 months to
weekly dept of medicine meeting |
Infrastructure
| Library: |
Yes |
| Personal email: |
Yes |
| Facilities: |
Yes - both physicial and on line; Electronic texts
including BNF and UpToDate |
| Information Technology: |
Computer terminals (7-8) each floor, Dept of Medicine
and RMO “mess”. Radiology is all digital. |
| Director Physician Training: |
Yes |
Contact
Dr Andrew Burns
Director of Physician Training
Phone: +64-6-878 8109
Email: andrew.burns@hawkesbaydhb.govt.nz
Hospital / Health Service Website
www.hawkesbaydhb.govt.nz
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Awards & Scholarhips
There are currently four IMSANZ awards/scholarships open to Advanced
Trainees. See Resources > Awards & Scholarships.
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